Ajay Negi
Senior Medical Biller
Hire this person
Send a job offer directly to this candidate
About
Highly organized and detail-oriented medical biller with more than 5 years of experience. Skilled in optimizing revenue cycle through accurate claim submission and maximizing reimbursements. I work well under pressure, thrive in fast-paced environments, and handle insurance complexities smoothly. Strong communication skills and a collaborative spirit. Looking for a rewarding position to contribute my expertise and support seamless financial management.
Experience
Senior Medical Biller - Green Apple Tech Systems - Noida
(2024-04)
- Ensure the clinic meets its revenue target.
- Handle Charge Entry, Payment Posting, Rejections and Denials.
- Prepare weekly reports for the clinic.
- Clean up pending accounts receivable each week.
- Validating insurance information and identifying the active insurance policy ID.
RCM Analyst - XpertDox - Noida
(2023-08 - 2024-04)
- Worked on ECW.
- Review the medical records to ensure accurate coding and focus on the E&M specialty.
- Validating insurance information and identifying the active insurance policy ID.
- Conducting claim scrubbing to ensure accuracy.
- Ability to clarify billing queries and resolve issues.
Medical Biller - Pacific an access healthcare - Noida
(2021-09 - 2023-07)
- Worked on eClinicalWorks and NextGen systems
- Managed daily operations of the Billing Department, handling tasks like charge entry, and payment posting.
- Specialized in billing for Dermatology and E&M.
- Analyzing and posting charges based on PDF and HL7 protocols.
- Managed average of manual 150 charge entries cases per day.
Accounts Receivable Analyst - R1 RCM - Noida
(2021-01 - 2021-07)
- Addressing and resolving different denials in the process.
- Communicate effectively with healthcare insurance representatives to resolve claim issues and gather necessary information.
- Additionally, transferred insurance claims and billing data to billing software, updated the software with changes, and maintained both paper (EOB) and electronic (ERA) copies of documentation.
- Obtained and reviewed referrals and authorizations for treatments, confirmed patient benefits and insurance eligibility, and adhered to all state program and HMO/PPO regulations and guidelines.
Education
Bachelor of Arts - mass & communication - Delhi University (2020)
Senior Secondary - CBSE, Delhi (2017)
Higher Secondary - CBSE, Delhi (2015)

